{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:31:03Z","timestamp":1793039463248,"version":"4.5.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"The project of the third affiliated Hospital of Zhejiang Chinese Medical University","award":["No. ZS22YA01"],"award-info":[{"award-number":["No. ZS22YA01"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"DOI":"10.1186\/s12889-024-20076-w","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T09:03:07Z","timestamp":1727427787000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Development and validation of a knowledge, attitude, and practice questionnaire regarding exercise and exergames for obese patients with gout"],"prefix":"10.1186","volume":"24","author":[{"given":"Manting","family":"Cao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazwani","family":"Ahmad Yusof","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianer","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"issue":"7","key":"20076_CR1","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1093\/rheumatology\/kex156","volume":"56","author":"M Hui","year":"2017","unstructured":"Hui M, Carr A, Cameron S, Davenport G, Doherty M, Forrester H, et al. The British Society for Rheumatology Guideline for the management of gout. Rheumatology (Oxford). 2017;56(7):e1\u201320.","journal-title":"Rheumatology (Oxford)"},{"issue":"5","key":"20076_CR2","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1016\/j.jare.2017.04.008","volume":"8","author":"G Ragab","year":"2017","unstructured":"Ragab G, Elshahaly M, Bardin T, Gout. An old disease in new perspective - A review. J Adv Res. 2017;8(5):495\u2013511.","journal-title":"J Adv Res"},{"key":"20076_CR3","doi-asserted-by":"publisher","first-page":"716802","DOI":"10.3389\/fendo.2021.716802","volume":"12","author":"Y Hou","year":"2021","unstructured":"Hou Y, Ma R, Gao S, Kaudimba KK, Yan H, Liu T, et al. The Effect of Low and Moderate Exercise on Hyperuricemia: protocol for a Randomized Controlled Study. Front Endocrinol (Lausanne). 2021;12:716802.","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"6","key":"20076_CR4","doi-asserted-by":"publisher","first-page":"1593","DOI":"10.1016\/S0149-2918(03)80158-3","volume":"25","author":"KY Kim","year":"2003","unstructured":"Kim KY, Ralph Schumacher H, Hunsche E, Wertheimer AI, Kong SX. A literature review of the epidemiology and treatment of acute gout. Clin Ther. 2003;25(6):1593\u2013617.","journal-title":"Clin Ther"},{"issue":"2","key":"20076_CR5","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.rdc.2014.01.001","volume":"40","author":"E Roddy","year":"2014","unstructured":"Roddy E, Choi HK. Epidemiology of gout. Rheum Dis Clin North Am. 2014;40(2):155\u201375.","journal-title":"Rheum Dis Clin North Am"},{"issue":"7","key":"20076_CR6","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1136\/ard.59.7.539","volume":"59","author":"PH Dessein","year":"2000","unstructured":"Dessein PH, Shipton EA, Stanwix AE, Joffe BI, Ramokgadi J. Beneficial effects of weight loss associated with moderate calorie\/carbohydrate restriction, and increased proportional intake of protein and unsaturated fat on serum urate and lipoprotein levels in gout: a pilot study. Ann Rheum Dis. 2000;59(7):539\u201343.","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"20076_CR7","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1136\/thoraxjnl-2016-209826","volume":"73","author":"S Mandal","year":"2018","unstructured":"Mandal S, Suh ES, Harding R, Vaughan-France A, Ramsay M, Connolly B, et al. Nutrition and Exercise Rehabilitation in obesity hypoventilation syndrome (NERO): a pilot randomised controlled trial. Thorax. 2018;73(1):62\u20139.","journal-title":"Thorax"},{"issue":"1","key":"20076_CR8","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1007\/s12603-012-0076-2","volume":"17","author":"Z-J Xiong","year":"2013","unstructured":"Xiong Z-J, Zhu C-S, Qian X, Zhu J, Wu Z, Chen L. Serum uric acid is associated with dietary and lifestyle factors in elderly women in Suburban Guangzhou in Guangdong Province of South China. J Nutr Health Aging. 2013;17(1):30\u20134.","journal-title":"J Nutr Health Aging"},{"issue":"11","key":"20076_CR9","doi-asserted-by":"publisher","first-page":"2034","DOI":"10.1136\/annrheumdis-2014-205312","volume":"74","author":"J-H Chen","year":"2015","unstructured":"Chen J-H, Wen CP, Wu SB, Lan J-L, Tsai MK, Tai Y-P, et al. Attenuating the mortality risk of high serum uric acid: the role of physical activity underused. Ann Rheum Dis. 2015;74(11):2034\u201342.","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"20076_CR10","doi-asserted-by":"publisher","first-page":"S2","DOI":"10.1186\/ar1907","volume":"8","author":"KG Saag","year":"2006","unstructured":"Saag KG, Choi H. Epidemiology, risk factors, and lifestyle modifications for gout. Arthritis Res Therapy. 2006;8(1):S2.","journal-title":"Arthritis Res Therapy"},{"issue":"1","key":"20076_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jshs.2016.11.009","volume":"6","author":"Z Gao","year":"2017","unstructured":"Gao Z. Fight fire with fire? Promoting physical activity and health through active video games. J Sport Health Sci. 2017;6(1):1\u20133.","journal-title":"J Sport Health Sci"},{"issue":"4","key":"20076_CR12","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1123\/jpah.2011-0425","volume":"11","author":"J Sween","year":"2014","unstructured":"Sween J, Wallington SF, Sheppard V, Taylor T, Llanos AA, Adams-Campbell LL. The role of exergaming in improving physical activity: a review. J Phys Act Health. 2014;11(4):864\u201370.","journal-title":"J Phys Act Health"},{"issue":"3","key":"20076_CR13","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1002\/oby.20282","volume":"21","author":"AE Staiano","year":"2013","unstructured":"Staiano AE, Abraham AA, Calvert SL. Adolescent exergame play for weight loss and psychosocial improvement: a controlled physical activity intervention. Obes (Silver Spring). 2013;21(3):598\u2013601.","journal-title":"Obes (Silver Spring)"},{"issue":"5","key":"20076_CR14","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1007\/s12576-017-0581-5","volume":"68","author":"MGS Amorim","year":"2018","unstructured":"Amorim MGS, de Oliveira MD, Soares DS, da Silva Borges L, Dermargos A, Hatanaka E. Effects of exergaming on cardiovascular risk factors and adipokine levels in women. J Physiological Sci. 2018;68(5):671\u20138.","journal-title":"J Physiological Sci"},{"issue":"5","key":"20076_CR15","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1177\/0253717620946111","volume":"42","author":"C Andrade","year":"2020","unstructured":"Andrade C, Menon V, Ameen S, Kumar Praharaj S. Designing and conducting knowledge, attitude, and practice surveys in Psychiatry: practical Guidance. Indian J Psychol Med. 2020;42(5):478\u201381.","journal-title":"Indian J Psychol Med"},{"issue":"6","key":"20076_CR16","doi-asserted-by":"publisher","first-page":"e037125","DOI":"10.1136\/bmjopen-2020-037125","volume":"10","author":"P AshaRani","year":"2020","unstructured":"AshaRani P, Abdin E, Kumarasan R, Kumar FDS, Shafie S, Jeyagurunathan A, et al. Study protocol for a nationwide knowledge, attitudes and practices (KAP) survey on diabetes in ' \u2018Singapore\u2019s general population. BMJ Open. 2020;10(6):e037125.","journal-title":"BMJ Open"},{"issue":"2","key":"20076_CR17","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1016\/j.sapharm.2018.03.066","volume":"15","author":"E Almanasreh","year":"2019","unstructured":"Almanasreh E, Moles R, Chen TF. Evaluation of methods used for estimating content validity. Res Social Administrative Pharm. 2019;15(2):214\u201321.","journal-title":"Res Social Administrative Pharm"},{"issue":"2","key":"20076_CR18","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1093\/swr\/27.2.94","volume":"27","author":"DM Rubio","year":"2003","unstructured":"Rubio DM, Berg-Weger M, Tebb SS, Lee ES, Rauch S. Objectifying content validity: conducting a content validity study in social work research. Social Work Res. 2003;27(2):94\u2013104.","journal-title":"Social Work Res"},{"issue":"2","key":"20076_CR19","doi-asserted-by":"publisher","first-page":"165","DOI":"10.15171\/jcs.2015.017","volume":"4","author":"V Zamanzadeh","year":"2015","unstructured":"Zamanzadeh V, Ghahramanian A, Rassouli M, Abbaszadeh A, Alavi-Majd H, Nikanfar AR. Design and implementation content validity study: development of an instrument for measuring patient-centered communication. J Caring Sci. 2015;4(2):165\u201378.","journal-title":"J Caring Sci"},{"issue":"4","key":"20076_CR20","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1111\/j.1744-6570.1975.tb01393.x","volume":"28","author":"LAWSHE CH","year":"1975","unstructured":"LAWSHE CH. A quantitative Approach to Content Validity. Pers Psychol. 1975;28(4):563\u201375.","journal-title":"Pers Psychol"},{"key":"20076_CR21","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1891\/1061-3749.22.3.461","volume":"22","author":"M Zerati","year":"2014","unstructured":"Zerati M, Alavi N. Designing and Validity evaluation of quality of nursing care scale in Intensive Care Units. J Nurs Meas. 2014;22:461\u201371.","journal-title":"J Nurs Meas"},{"issue":"2","key":"20076_CR22","first-page":"152","volume":"37","author":"J Shi","year":"2012","unstructured":"Shi J, Mo X, Sun Z. [Content validity index in scale development]. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012;37(2):152\u20135.","journal-title":"Zhong Nan Da Xue Xue Bao Yi Xue Ban"},{"issue":"1","key":"20076_CR23","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1186\/s12891-017-1914-5","volume":"18","author":"IB Rodrigues","year":"2017","unstructured":"Rodrigues IB, Adachi JD, Beattie KA, MacDermid JC. Development and validation of a new tool to measure the facilitators, barriers and preferences to exercise in people with osteoporosis. BMC Musculoskelet Disord. 2017;18(1):540.","journal-title":"BMC Musculoskelet Disord"},{"key":"20076_CR24","doi-asserted-by":"crossref","unstructured":"Kurpius SER, Stafford ME. Testing and measurement: a user-friendly guide. Sage; 2006.","DOI":"10.4135\/9781412986106"},{"issue":"1","key":"20076_CR25","doi-asserted-by":"publisher","first-page":"1743","DOI":"10.1186\/s12889-022-14147-z","volume":"22","author":"R Abdulkader Mohamed","year":"2022","unstructured":"Abdulkader Mohamed R, Abdul Rahim NA, Mohamad SM, Ahmad Yusof H. Validity and reliability of knowledge, attitude, and practice regarding exercise and exergames experiences questionnaire among high school students. BMC Public Health. 2022;22(1):1743.","journal-title":"BMC Public Health"},{"key":"20076_CR26","doi-asserted-by":"crossref","unstructured":"Mason J, Classen S, Wersal J, Sisiopiku V. Construct validity and test\u2013retest reliability of the automated vehicle user Perception Survey. Front Psychol. 2021;12.","DOI":"10.3389\/fpsyg.2021.626791"},{"issue":"2","key":"20076_CR27","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","volume":"15","author":"TK Koo","year":"2016","unstructured":"Koo TK, Li MY. A Guideline of selecting and reporting Intraclass correlation coefficients for Reliability Research. J Chiropr Med. 2016;15(2):155\u201363.","journal-title":"J Chiropr Med"},{"issue":"1","key":"20076_CR28","doi-asserted-by":"publisher","first-page":"17","DOI":"10.52589\/BJCE-FY266HK9","volume":"2","author":"I Kennedy","year":"2022","unstructured":"Kennedy I. Sample size determination in test-retest and Cronbach alpha reliability estimates. Br J Contemp Educ. 2022;2(1):17\u201329.","journal-title":"Br J Contemp Educ"},{"key":"20076_CR29","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1037\/h0036316","volume":"81","author":"CD Dziuban","year":"1974","unstructured":"Dziuban CD, Shirkey EC. When is a correlation matrix appropriate for factor analysis? Some decision rules. Psychol Bull. 1974;81:358\u201361.","journal-title":"Psychol Bull"},{"key":"20076_CR30","doi-asserted-by":"crossref","unstructured":"Bryman A, Cramer D. Quantitative Data Analysis with SPSS Release 10 for Windows: A Guide for Social scientists. Taylor & Francis; 2002.","DOI":"10.4324\/9780203471548"},{"key":"20076_CR31","unstructured":"George D, Mallery P. SPSS for Windows Step-by-Step: A Simple Guide and Reference, 14.0 update (7th Edition). http:\/\/lst-iiepiiep-unescoorg\/cgi-bin\/wwwi32exe\/[in=epidoc1in]\/?t2000=026564\/(100). 2003."},{"issue":"3","key":"20076_CR32","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1177\/0300060515604980","volume":"44","author":"L Liu","year":"2016","unstructured":"Liu L, Liu YP, Wang J, An LW, Jiao JM. Use of a knowledge-attitude-behaviour education programme for Chinese adults undergoing maintenance haemodialysis: Randomized controlled trial. J Int Med Res. 2016;44(3):557\u201368.","journal-title":"J Int Med Res"},{"issue":"1","key":"20076_CR33","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1186\/s13075-021-02461-7","volume":"23","author":"L Bai","year":"2021","unstructured":"Bai L, Zhou J-B, Zhou T, Newson RB, Cardoso MA. Incident gout and weight change patterns: a retrospective cohort study of US adults. Arthritis Res Therapy. 2021;23(1):69.","journal-title":"Arthritis Res Therapy"},{"issue":"4","key":"20076_CR34","first-page":"255","volume":"10","author":"S Yamashita","year":"1986","unstructured":"Yamashita S, Matsuzawa Y, Tokunaga K, Fujioka S, Tarui S. Studies on the impaired metabolism of uric acid in obese subjects: marked reduction of renal urate excretion and its improvement by a low-calorie diet. Int J Obes. 1986;10(4):255\u201364.","journal-title":"Int J Obes"},{"issue":"10","key":"20076_CR35","doi-asserted-by":"publisher","first-page":"e0237520","DOI":"10.1371\/journal.pone.0237520","volume":"15","author":"K Jablonski","year":"2020","unstructured":"Jablonski K, Young NA, Henry C, Caution K, Kalyanasundaram A, Okafor I, et al. Physical activity prevents acute inflammation in a gout model by downregulation of TLR2 on circulating neutrophils as well as inhibition of serum CXCL1 and is associated with decreased pain and inflammation in gout patients. PLoS ONE. 2020;15(10):e0237520.","journal-title":"PLoS ONE"},{"issue":"1","key":"20076_CR36","doi-asserted-by":"publisher","first-page":"102","DOI":"10.4103\/ijem.IJEM_487_18","volume":"23","author":"SR Reethesh","year":"2019","unstructured":"Reethesh SR, Ranjan P, Arora C, Kaloiya GS, Vikram NK, Dwivedi SN, et al. Development and validation of a questionnaire assessing knowledge, attitude, and practices about obesity among obese individuals. Indian J Endocrinol Metab. 2019;23(1):102\u201310.","journal-title":"Indian J Endocrinol Metab"},{"issue":"10","key":"20076_CR37","first-page":"2401","volume":"71","author":"I Ahmed","year":"2021","unstructured":"Ahmed I, Ishtiaq S. Reliability and validity: importance in Medical Research. J Pak Med Assoc. 2021;71(10):2401\u20136.","journal-title":"J Pak Med Assoc"},{"issue":"5","key":"20076_CR38","doi-asserted-by":"publisher","first-page":"587","DOI":"10.4040\/jkan.2013.43.5.587","volume":"43","author":"H Kang","year":"2013","unstructured":"Kang H. [A guide on the use of factor analysis in the assessment of construct validity]. J Korean Acad Nurs. 2013;43(5):587\u201394.","journal-title":"J Korean Acad Nurs"},{"key":"20076_CR39","unstructured":"De Silva DN, Chinna K, Azam SF, An exploratory factor analysis, on variables affecting the profitability of sri lankan local commercial banks. Eur J Manage Mark Stud. 2019."}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-024-20076-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12889-024-20076-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-024-20076-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T09:07:43Z","timestamp":1727428063000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-024-20076-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,27]]},"references-count":39,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["20076"],"URL":"https:\/\/doi.org\/10.1186\/s12889-024-20076-w","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3847514\/v1","asserted-by":"object"}]},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,27]]},"assertion":[{"value":"9 January 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study has been approved by Human Research Ethic Committee USM (USM\/JEPeM\/22090586). Each participant was provided with informed consent before completing the questionnaire.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The authors declare no conflict of interest in this study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"2638"}}